CT- and ultrasound-guided fine-needle aspiration (FNAB) and true-cut biopsies (TCB):: Prospective study in 103 patients.

被引：4

作者：

Bölter, S

Roeren, T

Egger, C

Huslage, C

Stamm, B

机构：

[1] Kantonsspital Aarau, Inst Diagnost & Intervent Radiol, CH-5001 Aarau, Switzerland

[2] Kantonsspital Aarau, Inst Pathol, CH-5001 Aarau, Switzerland

来源：

ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN | 2000年 / 172卷 / 05期

关键词：

biopsy percutaneous; computed tomography; ultrasound; complications;

D O I：

10.1055/s-2000-676

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Purpose: A prospective comparison of FNAB and TCB was performed in an identical set of patients and lesions. Methods: In 103 patients focal lesions were biopsied by US- or CT-guidance with at least one FNAB and TCB each. Complications were registered and documented. Cytological and histological specimens were evaluated independently. A final diagnosis was then attempted by consensus. Results: A total of 253 punctures was performed with sufficient tissue in 72.8% (FNAB) and 85.4% (TCB) of the cases. Diagnosis was possible in 68% (FNAB) and 80.6% (TCB). After combined evaluation of both specimens the diagnostic yield increased to 91.3%. Minor complications without clinical sequelae were observed in 21 patients. Conclusion: A diagnostic strategy with the combined use of FNAB and TCB increases the diagnostic yield in image-guided punctures. Even though this approach needs at least two separate punctures, the complication rate does not increase.

引用

收藏

页码：458 / 461

页数：4

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